Dubois Regional Medical Group, Pc
LBN: Dubois Regional Medical Group, Pc
Dubois Regional Medical Group, Pc is an health care organization with primary practice located at 135 Midway Drive Suite B, Du Bois PA 15801-3857. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Dubois Regional Medical Group, Pc can be contacted via phone (814) 371-1771, or through Sutika, John S via phone (814) 375-3385.
Contact Information
Primary practice address
135 Midway Drive Suite B
Du Bois PA 15801-3857
Phone: (814) 371-1771
Fax: (814) 371-4417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1760786834 |
|---|---|
| LBN Legal business name | Dubois Regional Medical Group, Pc |
| DBA Doing business as | |
| Authorized official | Sutika, John S CPA |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 5th, 2011 |
| Last updated | Mar 23rd, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760786834 | NPPES |
| Pennsylvania | MEDICAID | 100751931-0013 | |
| Pennsylvania | Other | 002564699 |
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